| NPI | 1992153159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126335) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 1464-1) |
| 106H00000X Marriage & Family Therapist (Licence: HI 558) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2021-11-02 |